| NPI | 1174999650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RENEE JOHNS Executive Director 301-791-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-06-07 |